Provider Demographics
NPI:1992467914
Name:GIORGINI- CRYNS, KAYLEY R (MPS)
Entity Type:Individual
Prefix:
First Name:KAYLEY
Middle Name:R
Last Name:GIORGINI- CRYNS
Suffix:
Gender:F
Credentials:MPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 BRAUNSDORF RD
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1813
Mailing Address - Country:US
Mailing Address - Phone:201-968-2288
Mailing Address - Fax:
Practice Address - Street 1:94 BRAUNSDORF RD
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1813
Practice Address - Country:US
Practice Address - Phone:201-968-2288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY002733OtherLCAT